Evidence map›Paper›PMID 40394510›Full record

Observational studyBMC ophthalmology2025

Intensive outdoor activity for 1 week increases choroidal thickness in Japanese schoolchildren: a prospective observational study.

Mamoru Ogawa, Hidemasa Torii, Erisa Yotsukura, Kiwako Mori, Akiko Hanyuda, Junko Matsumura, Kohei Fukuoka, Kazuno Negishi, Toshihide Kurihara, Kazuo Tsubota

Abstract readObservational Study
In one paragraph

Observational study in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mamoru OgawaDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Hidemasa ToriiDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. htorii@keio.jp.
Erisa YotsukuraDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Kiwako MoriDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Akiko HanyudaDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Junko MatsumuraNational Akagi Youth Friendship Center, National Institute for Youth Education, 27 Akagiyama, Fujimi-cho, Gunma, 371-0101, Maebashi-shi, Japan.
Kohei FukuokaNational Akagi Youth Friendship Center, National Institute for Youth Education, 27 Akagiyama, Fujimi-cho, Gunma, 371-0101, Maebashi-shi, Japan.
Kazuno NegishiDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Toshihide KuriharaDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. kurihara.z8@keio.jp.
Kazuo TsubotaDepartment of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. tsubota@tsubota-lab.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOutdoor activity is important to prevent myopia progression among schoolchildren, and maintaining the choroidal thickness is important to retard myopia progression. However, no research has reported the effects of short-term intensive outdoor activities on the choroidal thickness. This institution-based prospective observational study aims to assess the impact of outdoor activity for 1 week during a camp program to study ocular parameters including the choroidal thickness.

methodsThe intensive outdoor activity program included an average of 6.15 ± 2.98 h of daily time spent outdoors during the camp on subsequent days for 1 week at a low-altitude mountain camp. Twenty-four children participated in this program.

resultsThe main outcome was the change in the choroidal thickness compared with baseline. The data were measured at the beginning and end of the program over the course of 1 week and the changes analyzed. The mean age of the participants (50% female) was 11.5 ± 0.5 (standard deviation) years, and the mean changes were as follows: the refractive error became more positive, the axial length decreased, and the choroidal thickness (µm) increased, respectively, by 0.21 ± 1.35 diopters (P = 0.742), -0.01 ± 0.02 mm (P = 0.241), and 30.7 ± 20.3 μm (P < 0.001).

conclusionThe results suggested that intensive outdoor activity for only 1 week increased the choroidal thickness in Japanese schoolchildren.

Indexed as

ChoroidExerciseMyopiaAdolescentAxial Length, EyeChildEast Asian PeopleFemaleHumansJapanMaleProspective StudiesRefraction, OcularTomography, Optical CoherenceChoroidal thicknessMyopiaOutdoor activity

Identifiers

PMID40394510
PMCPMC12090398

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.